Deardurff, Ashley Jo

Deardurff, Ashley Jo is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Deardurff, Ashley Jo can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2477
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X CERT # 110845 Indiana

Profile Details

NPI number 1831409424
LBN Legal business name Deardurff, Ashley Jo
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2010
Last updated Nov 20th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831409424 NPPES
Indiana Other 000000682001 ANTHEM PROVIDER NUMBER

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